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    v1.0.28
    OpenPayerNPI Medicare & MedicaidPaul Tortolani
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    Paul Tortolani — Billing Profile & Reimbursement Data

    NPI 1174545602 · Towson, MD · Orthopaedic Surgery Physician

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    Paul Tortolani is a orthopaedic surgery physician provider located in Towson, Maryland. This profile covers 26 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationPaul Tortolani
    Address7505 Osler Dr
    CityTowson
    StateMD
    ZIP21204
    TaxonomyOrthopaedic Surgery Physician
    NPI EnumeratedJuly 24, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$418.3K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    26 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    63047The provider performs a laminectomy (excision of the thin bony plate at the back of a vertebra), facetectomy (excision of an area of a vertebra characterized by its smooth surface), and foraminotomy…80$750$58K
    22612The provider performs arthrodesis, also known as spinal fusion, in the lumbar spine (lower back), to permanently join two vertebrae, the interlocking bones of the spine. The provider applies bone…40$1,210$42.5K
    63042This procedure is laminotomy of one lumbar interspace with decompression of the nerve root(s), and includes a partial facetectomy, foraminotomy, and/or the excision of a herniated intervertebral…30$1,280$35.8K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…320$100$31.4K
    22551A cervical disc is removed through the front of the neck to help ease spinal pain and related symptoms. Fusion is performed to stabilize the vertebrae.20$1,420$31.2K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…400$70$28.6K
    63048At the same session as laminectomy, facetectomy, and foraminotomy on an initial segment for decompression, the provider performs the procedure on an additional vertebral segment.140$180$24.6K
    22842The provider places spinal instrumentation at the back of the spine across three to six vertebral segments to correct a spinal deformity during the course of a spinal surgery, such as a spinal…40$640$22.5K
    22633In this procedure the provider joins two adjoining lumbar vertebral bodies permanently, accessing the operative site with a combination of approaches for a better outcome. The provider performs this…20$1,370$21.9K
    99204The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…140$130$18K

    Showing 1–10 of 26

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 26 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    26 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    2261286020$1,580$37.9K
    22633285020$1,110$26.5K
    2255194020$1,340$24.1K
    992142,91610,270150$90$24.1K
    22614548060$280$20.6K
    63047111020$620$16.8K
    6304211020$930$16.8K
    22842148020$500$13.1K
    992131,3159,280100$60$12.5K
    992152,8774,07050$120$10.9K

    Showing 1–10 of 26

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Paul Tortolani, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Medstar Medical Group Ii LLCMDGeneral Practice Physician$0$91.5M
    University Of Maryland St. Joseph Medical Group, LLCMDGeneral Practice Physician$0$6.2M
    Syed Sameer NasirTNHematology & Oncology Physician$3.5M$0
    Howard HauptmanMDRheumatology Physician$2.9M$0
    Ikumi SuzukiMDMedical Oncology Physician$1.6M$0
    David WengMDMedical Oncology Physician$1.5M$0
    Kelly OrwatSCInternal Medicine Physician$1.3M$0
    Stephen RonsonMDSpecialist$1.2M$0
    Prashanth RaoMDCardiovascular Disease Physician$1.1M$0
    Ankit MadanMDHematology & Oncology Physician$1M$580

    Nearby Providers

    Other providers in the same ZIP code as Paul Tortolani, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Baltimore County Public SchoolsMDLocal Education Agency (LEA)$0$102.7M
    Gilchrist Hospice Care Inc.MDInpatient Hospice$0$60.7M
    Sheppard Pratt Physicians, P.A.MDPsychiatry Physician$0$17.3M
    Greater Baltimore Medical Center, Inc.MDGeneral Practice Physician$0$9.4M
    Mei TangMDMedical Oncology Physician$6.9M$0
    Patient First Maryland Medical Group PLLCMDFamily Medicine Physician$0$6.8M
    Sheppard Pratt Physicians PAMDMental Health Counselor$0$5.7M
    Baltimore County Deparment Of HealthMDPublic Health or Welfare Agency$0$5.2M
    David BarananoMDOphthalmology Physician$4.2M$0
    Raymond SjaardaMDOphthalmology Physician$4.2M$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Maryland Distribution
    Paul Tortolani — 5 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Maryland